由气血虚，神魂无根据也，治当论块痛有无缓急。若块痛未除，先服生化汤二、三帖，痛止；继服加参生化汤，或补
中益气汤，加安神定志丸调服之。若产日久，形气俱不足，即当大充气血，安神定志，服至药力充足，其病自愈。勿谓
邪祟，若喷以法水惊之，每至不救。屡治此症，服药至十数帖方效。病虚似邪，欲除其邪，先补其虚，先调其气，次论
诸病，此古人治产后虚症，及年老虚喘，弱人妄言，所当用心也。
安神生化汤 治产后块痛未止，妄言妄见症，未可用 、术。
川芎（一钱） 柏子仁（一钱） 人参（一、二钱） 当归（二、三钱） 茯神（二钱） 桃仁（十二粒） 黑姜
（四分） 炙草（四分） 益智（八分，炒） 陈皮（三分）
枣，水煎。
滋荣益气复神汤 块痛已止，妄言妄见，服此方即愈。
黄 白术 麦冬 川芎 柏子仁 茯神 益智（各一钱） 陈皮（三分） 人参 熟地（各二钱） 炙草（四分）
五味子（十粒） 枣仁（十粒，一钱） 莲子（八枚） 元肉（八个）
枣，水煎服。
产后血崩、血脱、气喘、气脱、神脱妄言，虽有血气阴阳之分，其精散神去一也。比晕后少缓，亦危症也。若非浓
药频服，失之者多矣。误论气实痰火者，非也。新产有血块痛，并用加参生化汤，行中有补，斯免滞血血晕之失也。其
块痛止，有宜用升举大补汤，少佐黄连，坠火以治血脱，安血归经也；有宜用倍参补中益气汤，少佐附子，助参以治气
脱，摄气归渊也；有宜用滋荣益气复神汤，少佐痰剂，以清心火，安君主之官也。
歌括∶产后日久气血虚，妄见妄言神无根据。
虚病似邪欲除之，先补其虚调其气。
安神生化柏子仁，当归川芎与人参。
桃仁黑姜陈皮草，茯神益智枣水吞。
滋荣益气复神汤，参 术芎麦地黄。
茯神益智柏枣仁，陈草五味萸莲尝。
Due to the deficiency of Qi and Blood, the Shen (Spirit) and Hun (Ethereal Soul) lack a foundation. Treatment should be determined by assessing the presence or absence of abdominal masses/pain and its urgency. If the pain from blood stasis has not been resolved, first administer Shenghua Tang (Life-Begotten Decoction) for two to three doses until the pain ceases; subsequently, administer Jiashen Shenghua Tang (Shenghua Tang with Ginseng) or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), taken in conjunction with Anshen Dingzhi Wan (Calming the Spirit and Stabilizing Will Pill). If a considerable time has passed since childbirth and both physical form and Zheng Qi (Upright Qi) are insufficient, one must vigorously tonify Qi and Blood and calm the Spirit. Continue medication until the therapeutic force is sufficient, at which point the disease will resolve spontaneously. Do not attribute this to evil spirits; spraying the patient with talismanic water to startle them often leads to untreatable conditions. Having treated this syndrome repeatedly, I have found that efficacy usually appears after more than ten doses. The condition is deficient yet resembles an exogenous pathogen; to eliminate the so-called "pathogen," one must first tonify the deficiency and regulate Qi, before addressing other symptoms. This is the principle that ancient physicians applied when treating postpartum deficiency syndromes, deficiency-type asthma in the elderly, and delirium in weak individuals.
Anshen Shenghua Tang: Treats postpartum persistent abdominal mass pain accompanied by delirium and visual/auditory hallucinations. At this stage, Bai Zhu (Atractylodis Rhizoma) and Cang Zhu (Atractylodis Lanceae Rhizoma) should not be used.
Chuan Xiong (Ligustici Chuanxiong Rhizoma) (1 qian), Baizi Ren (Biota Seed) (1 qian), Renshen (Ginseng Radix et Rhizoma) (1-2 qian), Dang Gui (Angelicae Sinensis Radix) (2-3 qian), Fushen (Poria with Hostwood) (2 qian), Taoren (Persicae Semen) (12 grains), Hei Jiang (Zingiberis Rhizoma Carbonisatum) (4 fen), Zhi Cao (Prepared Licorice Root) (4 fen), Yizhi Ren (Alpiniae Oxyphyllae Fructus) (8 fen, stir-fried), Chen Pi (Citri Reticulatae Pericarpium) (3 fen).
Add Da Zao (Jujubae Fructus), decoct in water.
Zirong Yiqi Fushen Tang: For cases where abdominal mass pain has ceased but delirium and hallucinations persist; taking this formula leads to recovery.
Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mai Dong (Ophiopogonis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Baizi Ren (Biota Seed), Fushen (Poria with Hostwood), Yizhi Ren (Alpiniae Oxyphyllae Fructus) (each 1 qian), Chen Pi (Citri Reticulatae Pericarpium) (3 fen), Renshen (Ginseng Radix et Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata) (each 2 qian), Zhi Cao (Prepared Licorice Root) (4 fen), Wu Wei Zi (Schisandrae Chinensis Fructus) (10 grains), Suan Zao Ren (Ziziphi Spinosae Semen) (10 grains or 1 qian), Lian Zi (Nelumbinis Semen) (8 pieces), Yuan Rou (Longan Aril) (8 pieces).
Add Da Zao (Jujubae Fructus), decoct in water and take orally.
Postpartum hemorrhage (Xue Beng), blood collapse (Xue Tuo), panting (Qi Chuang), Qi collapse (Qi Tuo), and Shen dispersion with delirium: Although these involve distinctions among Blood, Qi, Yin, and Yang, their essence lies in the scattering of Jing (Essence) and departure of Shen. Even if there is slight relief after fainting, it remains a critical condition. Without frequent administration of concentrated decoctions, many patients would die. It is incorrect to diagnose this as excess Qi and Phlegm-Fire. In new postpartum cases with abdominal mass pain, Jiashen Shenghua Tang should be used simultaneously; this promotes blood circulation while tonifying, thereby avoiding errors such as blood stasis retention leading to blood syncope. Once the mass pain stops, some cases suit Shengju Dabu Tang (Ascending and Greatly Tonifying Decoction) with a small addition of Huang Lian (Coptidis Rhizoma) to descend fire and treat blood collapse, stabilizing blood within the vessels; some cases suit Buzhong Yiqi Tang with double the dose of Renshen and a small addition of Fu Zi (Aconiti Lateralis Radix Praeparata) to assist Renshen in treating Qi collapse and drawing Qi back to its source; some cases suit Zirong Yiqi Fushen Tang with a small addition of phlegm-resolving agents to clear Heart Fire and stabilize the Monarch Organ (Heart).
Verse:
Postpartum long duration, Qi and Blood deficient,
Delusions and speech, Shen lacks foundation.
Deficiency mimics pathogen, to remove it,
First tonify deficiency, then regulate Qi.
Anshen Shenghua contains Baizi Ren,
Dang Gui, Chuan Xiong, and Renshen.
Taoren, Hei Jiang, Chen Pi, and Cao,
Fushen, Yizhi Ren, swallowed with Jujube water.
Zirong Yiqi Fushen Tang,
Contains Renshen, Bai Zhu, Chuan Xiong, Mai Dong, Di Huang.
Fushen, Yizhi Ren, Biota and Jujube seeds,
Chen Pi, Cao, Wu Wei Zi, Cornus, Lotus seeds.